Those with high CSHI scores also had fewer limitations with mobility and improved performance with instrumental activities of daily living (ie, managing telephone, money, and medication). Older adults who scored higher on the Character Strength of Honesty and Integrity (CSHI) scale demonstrated an 18% lower risk of lung disease (6% reduction with each standard deviation increase in the indicator for CSHI) and lower on the depression scale (11%). 1-3 The researchers suggest that this was the first epidemiological and observational study that prospectively correlated moral behavior with physical and mental health as well as improvements in activities of daily living. The authors focused on the “virtue scale,” a validated subscale of the consciousness scale in the HRS. Researchers used the psychological questionnaire embedded in the HRS that includes a psychosocial component that has been “vigorously validated” in previous studies. The final cohort included 9,831 respondents. The researchers included only individuals who had responded to the psychosocial questionnaire at baseline and self-assessment of health conditions at prebaseline. To reach statistical significance in their data analysis, the researchers included 2 waves of the psychological testing: those who completed the psychological questionnaire in 2008 and again in 2012 and those who completed it in 2010 and again in 2014. A psychological questionnaire is distributed to a randomly assigned half of the sample group every 4 years. The participants were Americans aged 50 or more years who completed the Health and Retirement Study (HRS), a national survey conducted biennially since 1992. Older adults who score higher for honesty and integrity have lower risk of lung disease and depression, fewer limitations with mobility, and improved performance with activities of daily living. To assess the impact of honesty and integrity on physical health, mental health, and activities of daily living in older adults (aged ≥ 50 years) Key Takeaway Being good, doing good: the role of honesty and integrity for health. Weziak-Bialowolska D, Bialowolski P, Niemiec RM.
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